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Madison Marsh
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MEDICAL RECORD
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- Height: 162 cm (5'4")
- Weight: 54 kilos (121 lbs)
- Blood Type: O-
- T/E Rating: T1/E3
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PAST MEDICAL HISTORY
- Chronic Illnesses: None
- Medications: None
- Allergies and Reactions: Bananas (hives) & Penicillin
- Sexual/Reproductive History: None
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PAST HOSPITALIZATIONS/SERIOUS ILLNESS
PAST SURGICAL HISTORY
- SD:
- Surgeon:
- OR Site:
- Op Note:
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PSYCHIATRIC HISTORY
None
SUBSTANCE USE HISTORY
- Alcohol: None
- Recreation Drugs: None
- Other: None
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FAMILY MEDICAL HISTORY
- Parent 1 (Mother): None
- Parent 2 (Father): None
- Siblings: None
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SOCIAL HISTORY
- Marital status: None
- Children: None
- Occupation/Assignment: Doctor
- Diet: Vegetarian
- Exercise: Cardio & Weight Training, 5 days a week
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PHYSICIANS' NOTES
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COUNSELORS' NOTES
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